Cannata Francesco, Stankowski Kamil, Galasso Michele, Muratori Manuela, Mancini Elisabetta, Colombo Antonio, Pontone Gianluca, De Marco Federico, Fazzari Fabio, Mangieri Antonio
Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, 20138 Milan, Italy.
IRCCS Humanitas Research Hospital, Via Alessandro Manzoni, 56, Rozzano, 20089 Milano, Italy.
J Clin Med. 2024 Oct 15;13(20):6144. doi: 10.3390/jcm13206144.
The growing awareness of tricuspid regurgitation (TR) and the fast-expanding array of devices aiming to percutaneously repair or replace the tricuspid valve have underscored the central role of multi-modality imaging in comprehensively assessing the anatomical and functional characteristics of TR. Accurate phenotyping of TR, the right heart, and pulmonary vasculature via echocardiography, computed tomography, and, occasionally, cardiovascular magnetic resonance and right heart catheterization is deemed crucial in choosing the most suitable treatment strategy for each patient and achieving procedural success. In the first part of the present review, key imaging factors for patient selection will be discussed. In the ensuing sections, an overview of the most commonly used, commercially available systems for transcatheter repair/replacement will be presented, along with their respective selection criteria and information on intraprocedural imaging guidance; these are edge-to-edge repair, orthotopic and heterotopic replacement, and valve-in-valve procedures.
对三尖瓣反流（TR）的认识不断提高，以及旨在经皮修复或置换三尖瓣的设备种类迅速增加，凸显了多模态成像在全面评估TR的解剖和功能特征方面的核心作用。通过超声心动图、计算机断层扫描，偶尔还有心血管磁共振成像和右心导管检查，对TR、右心和肺血管系统进行准确的表型分析，对于为每位患者选择最合适的治疗策略并实现手术成功至关重要。在本综述的第一部分，将讨论患者选择的关键成像因素。在随后的章节中，将概述最常用的、市售的经导管修复/置换系统，以及它们各自的选择标准和术中成像指导信息；这些系统包括缘对缘修复、原位和异位置换以及瓣中瓣手术。
